Dementia Care in Puhi, HI: In-Home Alzheimer's Care

Local figures

Dementia Care in Puhi, HI: the local picture

75

residents 85 or older (1.7% of all residents)

629

residents 65 or older (14% of Puhi)

17%

of residents 65+ report a disability (27% in Kauai County)

5

Medicare-certified nursing homes within 25 miles

Puhi has about 75 residents aged 85 or older among 629 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

17% of residents 65 and older report a disability (27% in Kauai County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

10% of older Puhi residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Puhi compared with Kauai County and Hawaii

Census figure	Puhi	Kauai County	Hawaii
Residents 85 or older	1.7%	2.4%	2.8%
Residents 65 or older	14%	22%	20%
Residents 65+ with a disability	17%	27%	32%
Residents 65+ in households who live alone	10%	19%	20%
Residents 65+ below the poverty line (approx.)	0.5%	8.6%	9.2%
Residents 5+ who speak a language other than English at home	26%	18%	25%
Median income, households headed by someone 65+	$131,308	$74,413	—

Older residents in towns around Puhi

Town	Distance	Residents 65+	Residents 85+
Lihue, HI	2.4 mi	2,374	557
Hanamaulu, HI	3.8 mi	888	0
Koloa, HI	6.0 mi	458	23
Wailua, HI	7.3 mi	657	63
Wailua Homesteads, HI	7.5 mi	1,408	122
Lawai, HI	7.6 mi	545	42

Nursing homes near Puhi

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Garden Isle Healthcare And Rehabilitation Center	Lihue, HI	1.8 mi	5 of 5	110	(808) 245-1802
Hale Kupuna Heritage Home, LLC	Koloa, HI	6.8 mi	4 of 5	84	(808) 742-7591
Samuel Mahelona Memorial Hospital	Kapaa, HI	10 mi	5 of 5	66	(808) 822-4961
Kauai Veterans Memorial Hospital	Waimea, HI	18 mi	5 of 5	20	(808) 338-9431
Kauai Care Center	Waimea, HI	18 mi	3 of 5	53	(808) 338-1681

Hospices serving Puhi

Hospice	Office	Distance	Phone
Kauai Hospice	Lihue, HI	2.0 mi	(808) 245-7277

Straight-line miles from the center of Puhi. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care costs in Puhi

At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 15% of the $10,942 monthly median income of Puhi households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Dementia Care in Puhi: common questions

What nursing homes are near Puhi?

The closest Medicare-certified nursing homes are Garden Isle Healthcare And Rehabilitation Center in Lihue (1.8 mi, 5 of 5 overall); Hale Kupuna Heritage Home, LLC in Koloa (6.8 mi, 4 of 5 overall); Samuel Mahelona Memorial Hospital in Kapaa (10 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Puhi?

At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 15% of the $10,942 monthly median income of Puhi households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near Puhi

More senior care near Puhi

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Dementia and Alzheimer's Care in Puhi, HI